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Myeloproliferative neoplasms (MPNs), including polycythemia vera, essential thrombocythemia, and primary myelofibrosis, may lead to gastroesophageal varices. The quality of life, morbidity, and mortality of MPN patients mainly depend on disease-related symptoms, thromboembolic and hemorrhagic complications. Previous studies have shown that JAK2 V617F has a prominent role in vascular risk and MPN-associated gastroesophageal varices. The aim of this study is to evaluate the efficacy of anticoagulation in patients with JAK2 mutation and gastroesophageal varices.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anticoagulation group | Patients with JAK2 mutation and gastroesophageal varices receive anticoagulation agents. |
| |
| Control group | Patients with JAK2 mutation and gastroesophageal varices who didn't receive anticoagulation agents. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anticoagulation Agents | Drug | Patients receive anticoagulation agents including low molecular weight heparin, warfarin, rivaroxaban, et al. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes of portal vein thrombosis | The changes of portal vein thrombosis including progression, disappear or unchanged. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of variceal bleeding | The occurrence of variceal bleeding including haematemesis and melena | 1 year |
| Overall survival | Overall survival rate |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with gastric and/or esophageal varices and JAK2 mutation.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiaoquan HUANG, Ph.D | Contact | 18801733835 | huang.xiaoquan@zs-hospital.sh.cn |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30574023 | Background | Greenfield G, McMullin MF. Splanchnic venous thrombosis in JAK2 V617F mutation positive myeloproliferative neoplasms - long term follow-up of a regional case series. Thromb J. 2018 Dec 19;16:33. doi: 10.1186/s12959-018-0187-z. eCollection 2018. | |
| 25027569 | Background | Yan M, Geyer H, Mesa R, Atallah E, Callum J, Bartoszko J, Yee K, Maganti M, Wong F, Gupta V. Clinical features of patients with Philadelphia-negative myeloproliferative neoplasms complicated by portal hypertension. Clin Lymphoma Myeloma Leuk. 2015 Jan;15(1):e1-5. doi: 10.1016/j.clml.2014.04.004. Epub 2014 Jun 11. |
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| ID | Term |
|---|---|
| D009196 | Myeloproliferative Disorders |
| D006975 | Hypertension, Portal |
| ID | Term |
|---|---|
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008107 | Liver Diseases |
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| ID | Term |
|---|---|
| D000925 | Anticoagulants |
| ID | Term |
|---|---|
| D006401 | Hematologic Agents |
| D045506 | Therapeutic Uses |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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| 1 year |
| 32679300 | Background | Magaz M, Alvarez-Larran A, Colomer D, Lopez-Guerra M, Garcia-Criado MA, Mezzano G, Belmonte E, Olivas P, Soy G, Cervantes F, Darnell A, Ferrusquia-Acosta J, Baiges A, Turon F, Hernandez-Gea V, Garcia-Pagan JC. Next-generation sequencing in the diagnosis of non-cirrhotic splanchnic vein thrombosis. J Hepatol. 2021 Jan;74(1):89-95. doi: 10.1016/j.jhep.2020.06.045. Epub 2020 Jul 15. |
| 28543980 | Result | Reilly CR, Babushok DV, Martin K, Spivak JL, Streiff M, Bahirwani R, Mondschein J, Stein B, Moliterno A, Hexner EO. Multicenter analysis of the use of transjugular intrahepatic portosystemic shunt for management of MPN-associated portal hypertension. Am J Hematol. 2017 Sep;92(9):909-914. doi: 10.1002/ajh.24798. Epub 2017 Jul 26. |
| D004066 |
| Digestive System Diseases |